心律失常从心肾论治

段秋霞1 ，陈赛赛1 ，王大英2 *

（1. 上海中医药大学，上海，201203；2. 上海中医药大学附属普陀医院心内科，上海，200062）

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摘要：

心律失常属于中医“惊悸”“怔忡”“心悸”范畴。西医治疗主要为采用抗心律失常药物或手术治疗。抗心律失常药物通 过调节离子通道、阻断相应受体、延长复极过程等机制稳定心律，起效快，但并发症发生率较高；手术治疗效果较好，但其治 疗费用昂贵，实施范围相对较小。中医认为本虚标实是心律失常的病机关键，本病的发病与肾关系密切。该研究论述了心律 失常从心肾论治的理论基础及临床用药进展，认为心肾并治有着重要临床意义。

关键词：心律失常；心肾阴虚；心肾阳虚

中图分类号：R259 文献标志码：A文章编号：2096-1413(2018)03-0139-03

Arrhythmia treatment from the heart and kidney

DUAN Qiu-xia1, CHEN Sai-sai 1, WANG Da-ying 2 *
(1. Shanghai University of Traditional Chinese Medicine, Shanghai 201203; 2. Cardiology Department, Putuo Hospital, the Affiliated Hospital of Shanghai University of Traditional Chinese Medicine, Shanghai 200062, China)

ABSTRACT: Arrhythmia belongs to palpitations category in traditional Chinese medicine. Western medicine mainly uses antiarrhythmic drugs and surgery in the treatment of arrhythmia. Antiarrhythmic drugs stabilize the heart rhythm by regulating ion channels, blocking the corresponding receptors and prolonging the process of repolarization, which can take effect rapidly, but it has high incidence of complications. Surgery has remarkable effect, but it has high treatment costs, the implementation scope was relatively smaller than antiarrhythmic drugs. Traditional Chinese medicine hold that the deficiency in origin and enrichment in symptom is the key to arrhythmias, the incidence of the disease is closely related to the kidney. The study discussed the theoretical basis of arrhythmia treatment from the heart and kidney, and its clinical progress, and hold that treatment from the heart and kidney has important clinical significance.
KEYWORDS: arrhythmia；Yin deficiency of the heart and kidney；Yang deficiency of the heart and kidney

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